Mark Murdock1. 1. Palmer Chiropractic College, Port Orange, FL.
Abstract
OBJECTIVES: To discuss the diagnosis and management of a Salter-Harris type II fracture in a nine-year-old girl who was managed conservatively. CLINICAL FEATURES: A nine-year-old girl fell while playing in bare feet in the grass. She experienced pain when she walked or moved her toe. There was minor swelling and bruising. INTERVENTION AND OUTCOME: Plain film radiographs revealed a Salter-Harris type II fracture of the 2(nd) proximal phalanx. Her toe was stabilized and she was referred to an orthopedist. Orthopedic management involved a taping procedure. After three weeks, her fracture healed and she was pain free. SUMMARY: Chiropractors may consider radiography of post-traumatic injury sites even with equivocal examination findings despite histories suggesting seemingly innocuous mechanisms of injury.
OBJECTIVES: To discuss the diagnosis and management of a Salter-Harris type II fracture in a nine-year-old girl who was managed conservatively. CLINICAL FEATURES: A nine-year-old girl fell while playing in bare feet in the grass. She experienced pain when she walked or moved her toe. There was minor swelling and bruising. INTERVENTION AND OUTCOME: Plain film radiographs revealed a Salter-Harris type II fracture of the 2(nd) proximal phalanx. Her toe was stabilized and she was referred to an orthopedist. Orthopedic management involved a taping procedure. After three weeks, her fracture healed and she was pain free. SUMMARY: Chiropractors may consider radiography of post-traumatic injury sites even with equivocal examination findings despite histories suggesting seemingly innocuous mechanisms of injury.
Entities:
Keywords:
Salter-Harris; chiropractic; pediatrics; toe fracture
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